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Golden Compass Program Helps Older HIV Patients Navigate Health Services

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By Niall Kavanagh, UCSF News

Norman Tanner was searching for something but he didn’t know what. In Southern California, most weren’t like him – a young, black, gay man. A friend told him to head north, where he’d find an open community. So, in 1976, Tanner – then 19 – headed to San Francisco.

Though he found a friendly group, Tanner still had trouble connecting. Most gay men didn’t disclose their sexuality, so – like many of them – Tanner used drugs to bond. At first, it worked. For years, Norman enjoyed an active social life.

Then, in 1990, the good times ended. After a routine blood test, Tanner learned he had HIV. At the time, HIV/AIDS was still a mystery and most with the diagnosis expected death. AIDS mortality would reach its peak in San Francisco in 1992 with roughly 1,800 deaths annually. Thinking he had little to live for, Tanner increasingly relied on drugs.

Lost again, Tanner sought help. A friend referred Norman to UC San Francisco’s Ward 86 at Zuckerberg San Francisco General Hospital and Trauma Center, the world’s first HIV/AIDS outpatient clinic.

It was at Ward 86 that Tanner found compassion then. “The nurses treated me like a human being,” Tanner said. “They gave me hope.”

Ward 86 also is where he continues to receive care as part of Golden Compass, a new program to meet the health needs of the increasing population of HIV patients who are growing older.

“In the early days of the AIDS epidemic, patients – mostly men in their 20s and 30s – were often told they should plan for an early death,” says Monica Gandhi, MD, MPH, medical director of Ward 86. “HIV care was mostly palliative – making patients as comfortable as possible.”

In the 1990s, Tanner enrolled in addiction treatment and co-founded a support group. He read everything he could about HIV/AIDS, convincing him that better treatments were coming.

Tanner’s hunch was right. In 1996, more effective antiretroviral therapies (ART) were introduced, enabling people to live with HIV as a chronic disease. Since then, Tanner has been sober and on ART.

Though ART is effective in prolonging the lives of HIV patients, their aging process may be accelerated. Diseases that typically affect HIV-negative people in their 60s and 70s are increasingly affecting people with HIV in their 50s. For instance, HIV patients experience increased risk of heart disease, osteoporosis and memory problems, which may result from the disease itself, older medications or other factors like smoking.

Tanner is just one of 1.2 million people in the United States living with HIV. Of those, half of the adults are now age 50 or older. The rate is even higher in San Francisco – close to 60 percent.

To meet the health needs of this growing population, Ward 86 launched the new Golden Compass medical program in January. AIDS Walk San Francisco is sponsoring the program with a $100,000 donation, and recently committed another $75,000.

“People with HIV age faster and need specialized care,” says Gandhi. “Golden Compass is the first program in the country that offers the comprehensive care that older adults with HIV need.”

Since it opened in 1983, Ward 86 has a history of introducing innovations in HIV/AIDS care. San Francisco is now on track to become the first city to “Get to Zero” in terms of new HIV infections. As providers and activists throughout the city work toward this goal, Golden Compass will focus on improving care.

Golden Compass will provide multidisciplinary medical care, including cardiovascular, cognitive, strength and social support – among others – for patients with HIV over age 50.

“The name came from our patients,” says Meredith Greene, MD, associate medical director of Golden Compass and a geriatrician with HIV expertise. “They’re moving into their golden years but unsure how to navigate services. They need a guide.”

Once lost, Tanner regularly returns to the familiar HIV clinic where he is known as “Mr. Ward 86.” He is using Golden Compass for cardiovascular care and emotional support in addition to HIV treatment.

“I hope to age gracefully,” said Tanner. “Now I know the way.”

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Advice

Financial Wellness and Mental Health: Managing Money Stress in College 

While everyone’s financial situation is unique, several common sources of stress have the potential to strain your financial health. These include financial and economic uncertainty, existing debts, unexpected expenses, and mental or physical health changes. Financial stress may differ from situation to situation, but understanding the factors contributing to yours may help you begin to craft a plan for your unique circumstances. 

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As a college student, managing financial responsibilities can be stressful.

If you’ve found yourself staying up late thinking about your finances or just feeling anxious overall about your financial future, you’re not alone. In one survey, 78% of college students who reported financial stress had negative impacts on their mental health, and 59% considered dropping out. While finances can impact overall stress, taking steps to manage your finances can support your mental, emotional and physical well-being.

When it comes to money, the sources of stress may look different for each student, but identifying the underlying causes and setting goals accordingly may help you feel more confident about your financial future.

Consider these strategies to help improve your financial wellness and reduce stress.

Understand what causes financial stress

While everyone’s financial situation is unique, several common sources of stress have the potential to strain your financial health. These include financial and economic uncertainty, existing debts, unexpected expenses, and mental or physical health changes. Financial stress may differ from situation to situation, but understanding the factors contributing to yours may help you begin to craft a plan for your unique circumstances.

2. Determine your financial priorities

Start by reflecting on your financial priorities. For students this often includes paying for school or paying off student loans, studying abroad, saving for spring break, building an emergency fund, paying down credit card debt or buying a car. Name the milestones that are most important to you, and plan accordingly.

3. Create a plan and stick to it

While setting actionable goals starts you on the journey to better financial health, it’s essential to craft a plan to follow through. Identifying and committing to a savings plan may give you a greater sense of control over your finances, which may help reduce your stress. Creating and sticking to a budget allows you to better track where your money is going so you may spend less and save more.

4. Pay down debt

Many students have some form of debt and want to make progress toward reducing their debt obligations. One option is the debt avalanche method, which focuses on paying off your debt with the highest interest rate first, then moving on to the debt with the next-highest interest rate. Another is the debt snowball method, which builds momentum by paying off your smallest debt balance, and then working your way up to the largest amounts.

5. Build your financial resilience

Some financial stress may be inevitable, but building financial resilience may allow you to overcome obstacles more easily. The more you learn about managing your money, for instance, the more prepared you’ll feel if the unexpected happens. Growing your emergency savings also may increase resilience since you’ll be more financially prepared to cover unexpected expenses or pay your living expenses.

6. Seek help and support 

Many colleges have resources to help students experiencing financial stress, like financial literacy courses or funds that provide some assistance for students in need. Talk to your admissions counselor or advisor about your concerns, and they can direct you to sources of support. Your school’s counseling center can also be a great resource for mental health assistance if you’re struggling with financial stress.

The bottom line

Financial stress can affect college students’ health and wellbeing, but it doesn’t have to derail your dreams. Setting smart financial goals and developing simple plans to achieve them may help ease your stress. Revisit and adjust your plan as needed to ensure it continues to work for you, and seek additional support on campus as needed to help keep you on track.

 JPMorgan Chase Bank, N.A. Member FDIC

© 2026 JPMorgan Chase & Co.

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Oakland Post: Week of March 11 -17, 2026

The printed Weekly Edition of the Oakland Post: Week of March 11 – 17, 2026

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Advice

Women & Wealth: Tips for Navigating Your Lifelong Financial Journey

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Sponsored by J.P. Morgan Wealth Management

We are in the midst of a seismic shift in wealth. This phenomenon, often referred to as the “Great Wealth Transfer,” describes the unprecedented movement of assets from the Baby Boomer generation to their heirs – an estimated $105 trillion by 2048. And women are poised to inherit most of this.

J.P. Morgan Wealth Management’s 2025 Investor Study found that women are not only set to receive significant wealth – they’re actively working to build it on their own. Ninety-three percent of women surveyed who are expecting an inheritance aren’t relying on it to reach their goals.

Here are a few tips for women to consider in their wealth-building journey:

Create a financial roadmap

A detailed, well thought out plan is important. J.P. Morgan’s study found that 90% of those surveyed with a plan feel confident about reaching their financial goals, compared to 49% without one.

Your plan should reflect your unique goals, priorities and circumstances. Consider your investment horizon and risk tolerance, and remember to revisit your plan regularly as life evolves.

Are you saving up for goals like buying a house, sending your kids off to college or retiring early? Where do you want to be in the next five, ten or twenty years? Everyone’s financial situation is unique, so it’s important to think about these questions and build a plan that is unique to your life.

Women tend to live longer than men on average. Many take career breaks or care for family members, which can influence long-term planning. It’s important to adjust your strategy with these factors in mind.

Where to start with investing

Don’t let misconceptions hold you back. Starting to invest doesn’t require a large sum, and beginning early can be beneficial. The earlier you start, the more time your money has to potentially grow over the years. Understand your overall financial situation, set clear goals and develop a long-term plan.

It’s important to also make sure you’re covered for unexpected expenses that come up before you start to invest. Build up a cash emergency fund, typically enough to cover three to six months of expenses, and pay down any high-interest debt.

Taking charge of your finances

The good news is that women are taking charge of their finances. J.P. Morgan’s research found that 75% of women respondents make financial decisions with their partner or take the lead themselves. For those who have a spouse or partner, it’s important for each person in the relationship to play an active role in the process.

Building wealth can be empowering for many women. The same survey found that 73% of women respondents said money gives them “security,” while 64% of Gen Z and Millennial women associated it with “freedom.”

The power of having a team

Some people find it helpful to work with a financial advisor, so you don’t have to tackle things alone. An advisor can help you craft a plan tailored to your needs and keep you on track throughout your lifelong financial journey. If you expect to receive an inheritance, you should also consult with estate planning and tax professionals.

No matter where you are on your wealth-building path, education is key. It’s so important to be an informed investor, and there are plenty of resources out there to help. You can find a library of free educational resources at chase.com/theknow.

As the landscape of wealth continues to evolve, women have a unique opportunity to shape their financial futures and those of generations to come. By staying informed and planning ahead, women have the tools to help them confidently navigate the Great Wealth Transfer and set themselves up for financial freedom.

The views, opinions, estimates and strategies expressed herein constitutes the author’s judgment based on current market conditions and are subject to change without notice, and may differ from those expressed by other areas of J.P. Morgan. This information in no way constitutes J.P. Morgan Research and should not be treated as such. You should carefully consider your needs and objectives before making any decisions. For additional guidance on how this information should be applied to your situation, you should consult your advisor.  

JPMorgan Chase & Co., its affiliates, and employees do not provide tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any financial transaction.  

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